A stepped strategy that aims at the nationwide implementation of the Enhanced Recovery After Surgery programme in major gynaecological surgery: study protocol of a cluster randomised controlled trial
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- 作者：Jeanny JA de Groot ; José MC Maessen ; Brigitte FM Slangen…
- 关键词：Comparative effectiveness research ; Enhanced Recovery After Surgery ; Gynaecological oncology ; Large ; scale implementation ; Perioperative care ; Quality improvement collaborative ; Randomised controlled trial
- 刊名：Implementation Science
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：10
- 期：1
- 全文大小：653 KB
- 刊物主题：Health Promotion and Disease Prevention; Health Administration; Health Informatics;
- 出版者：BioMed Central
- ISSN：1748-5908
文摘
Background Enhanced Recovery After Surgery (ERAS) programmes aim at an early recovery after surgical trauma and consequently at a reduced length of hospitalisation. This paper presents the protocol for a study that focuses on large-scale implementation of the ERAS programme in major gynaecological surgery in the Netherlands. The trial will evaluate effectiveness and costs of a stepped implementation approach that is characterised by tailoring the intensity of implementation activities to the needs of organisations and local barriers for change, in comparison with the generic breakthrough strategy that is usually applied in large-scale improvement projects in the Netherlands.